A Response To: Letter To The Editor Regarding ‘‘Importance Of Early Screening And Diagnosis Of Chronic Kidney Disease in Patients With Type 2 Diabetes’’

Keywords: Type 2 diabetes mellitus; Chronic kidney disease; Kidney function screening

Thank you, Dr. Nataraj, Dr. Maiya, and Dr. Nagaraju for your response.

Although we have focused on US guidelines surrounding chronic kidney disease (CKD) in people with type 2 diabetes mellitus, this is clearly a global issue. We recognize that the standard of care in the USA may differ from other countries. The goal of frequent kidney function screening in people with diabetes is to prevent patients from presenting with gross symptoms of CKD as in the example given.

We agree that prevention is key. We look forward to learning more about the role of exercise in CKD prevention as further research develops. The guidelines we presented and medications described to help prevent and slow the progression of CKD are reliant on access to resources in the community. Unfortunately, there are many obstacles including costs, access to specialists, health literacy, and patient nonadherence. However, we must advocate for our patients to prevent the long-term consequences of CKD.

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ACKNOWLEDGEMENTS 

Funding. No funding or sponsorship was received for this study or publication of this article. 

Authorship. All named authors meet the International Committee of Medical Journal Editors (ICMJE) criteria for authorship for this article, take responsibility for the integrity of the work as a whole, and have given their approval for this version to be published. Both authors participated in the drafting, critical revision, and approval of the final version of the manuscript. 

Disclosures. Neil Skolnik (Advisory Boards and 

Consultant—AstraZeneca, Teva, Lilly, Boehringer Ingelheim, Sanofi, Sanofi Pasteur, GSK, Bayer, Genentech, Abbott, Idorsia; Speaker— AstraZeneca; Boehringer Ingelheim; Lilly, GSK, Bayer; Research Support—Sanofi, AstraZeneca, Boehringer Ingelheim, GSK, Bayer, Novo Nordisk). Alyssa Style has nothing to disclose. Compliance with Ethics Guidelines. This article is based on previously conducted studies and does not contain any studies with human participants or animals performed by any of the authors

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